Hooo-Hooo Volume 10, nr 4 - Page 12

WildLife Group of the SAVA RhODIS Sample Submission Form A (Rhinoceros animal sample collection) Live / Hunt / Poach RhODIS number CAS Number (Poaching) Animal Information Animal ID / Name Ear Tag Number Date Collected Police Station: CAS Microchip nr 1 (Body) Placement Subadult Placement Microchip nr 2 (Body) Age Old Adult Juvenile Calf Sex Male Female Species White Black Horn Information (If horns are removed – please complete a separate horn form for each horn and follow the instructions provided on that form for handling each horn) Front Horn Microchip Number Placement Sample collected Circumference (cm) Length front (cm) Length Back (cm) Back Horn Microchip Number Placement Sample collected Circumference (cm) Length front (cm) Length Back (cm) Sample Information Type Number of each sample type Ear Notch Blood EDTA Serum Heparin Left Right ear ear Toenail Other Tissue Horn Tail Hair Outer Bag number Kit Outer Bag seal intact Hunted Poaching case Inner Bag number Kit Permit number Owner Information Owner 12 Farm Live rhino Dehorned Tel number Cell number Email address